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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
MORALES-ORTIZ, Jorge A. et al. Intestinal obstruction secundary to gallstone ileus: case report. Cir. cir. [online]. 2021, vol.89, suppl.2, pp.31-33. Epub 14-Feb-2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.21000022.
Gallstone ileus is an intestinal obstruction that is secondary to the presence of gallstones in the small intestine. It is a rare complication of cholelithiasis, which represents 1-3% of the causes of intestinal obstruction. The diagnosis is difficult given that the symptoms are nonspecific with intermittent intestinal obstruction, Rigler's triad (pneumobilia, stone and abdominal distention) is pathognomonic. Among the diagnostic aids are abdominal radiography, ultrasound and abdominal tomography. Treatment should be individualized depending on the patient's conditions, with laparotomy with enterotomy being the treatment of choice.
Palabras llave : Gallstone ileus; Intestinal obstruction; Cholelithiasis; Laparotomy.